mri report

[chelsie]

good morning,
  i recently had an mri from an accident sometime ago.had been having progressive symptoms which have gotten worse--being a nurse i'd like more info on this result.IMPRESSION--#1central/left paracentral disc protusion at C6-7 with associated endplate spondylosis causing compressionon cervical cord and associated myelomalacia.
#2Broad based protrusion of the c5-6 DISC WITH ASSOCIATED ENDPLATE SPURRING CAUSING CENTRAL CAHAL STENOSIS.
I have ALL the symptoms-regular GP said start looking for a surgeon.Could you give me a general impression of the report in plain english?


                          thanks,chelsie

[CCF Neuro[P] MD, RPS]

Dear Chelsie:

First, we think of surgery as the last resort to treat pain coming from a mild lesion in the spinal column.  Our recommendation is to try rehab with PT to stabilize the problem and relieve the pain.  Thus, I would tell you to see a neurologist along with the neurosurgeon, to get a balanced report and recommendation.

The MRI indicates that there is disc protrusion (displacement) in disc space C-5/6 and C-6/7.  The compression of the spinal cord with association myelomalcia which is likely related to your accident that induced the truama to that area of the spine.  The reaction to injury is the myelomalcia which is likely due to inflammation and glial changes due to the former.  The spondylosis is the change or slippage of the vertebrae on one another, this may or may not be from the accident.  It might be due to aging and a natural process.  The endplate spurring is the displacement of part of the vertebrae that is compromising the spinal cord.  Without seeing this I cannot comment on how bad the compromising is and this is a very important thing to know, especially concerning surgery.  I would see if a good neuroradiologist can view and read these films.

I hope I explained this alittle for you.

Sincerely,

CCF Neuro MD

[jasmine852]

A related discussion, post cervical surgery MRI was started.